论伤寒调理 论中暑调治 论中风调治 论中湿调治 论火症调治 论燥症善后
天师曰∶终治者，病已愈而为善后之计，故曰终治。如伤寒愈后，作何调治；中暑之后，作何汤饮∶
中风之后，作何将息是也。伤寒邪已尽退，正气自虚，理宜补正，但胃强脾弱，多食补剂，恐能食而不能
受。法当用补胃之药少，而补脾之药多，尤不宜补脾之药多，而补肾之药少。盖肾能生土，而土自能生
金，金旺则木有所畏，不至来克脾土，然则补肾正所以补脾也。方用熟地一两，麦冬三钱，五味子五分，
白芍三钱，肉桂三分，白术三钱，薏仁三钱，白芥子一钱，水煎服。（〔批〕脾肾至资汤。）此方专补肾脾
二经，不去通补各脏，而各脏无不治之也。
中暑伤气，而调治之法不可以治气为先，当以补血为主。盖阳伤则阴血亦耗也。方用当归一两，白
芍三钱，川芎一钱，熟地一两，五味子一钱，麦冬三钱，水煎服。此方即四物汤也，妙在全是阴经之药，又
加之麦冬、五味以养肺金。金既
旺，可以制木之克脾，则四物生肝而安于无事之福也。
中风之后，亦气之虚也。此等病断宜补气，不可补血。盖血滞而后中风，不可再补血以增添气滞
也。方用人参三钱。茯苓三钱，薏仁三钱，半夏一钱，神曲五分，白术五钱，甘草一钱，肉桂一钱，陈皮
五分，水煎服。（〔批〕气血两补丹。）此方妙补胃气，以生肺金之气，补命门以生脾土之阴，又
何畏风木之旺哉。此三方皆善后至妙者，可以为终治之法。
张公曰∶妙极矣。予又何言，予当一一补之。中湿之后，水已泻尽，法当健脾。然而不可徒健脾也，
当补命门之火以生脾土。方用白术五钱，茯苓三钱，肉桂三分，白芍三钱，薏仁五钱，白芥子一钱，水煎
服。此方专补肾经之火，而又不十分大热，则脾气得温，自然能去湿气而生胃气也。
火症既已散尽余火，势必气息奄奄，不能坐立。若一味泻火，则胃气必伤，而骨髓耗尽，水何日重
生。方用熟地一两，元参五钱，麦冬一两，牛膝一钱，白芍三钱，水煎服。（〔批〕济水汤。）此方妙在润
肺金以生肾水，兼去平肝。三脏既安，则胃气自然得生，又何必再泻其余火哉。
燥病既除，善后之计，惟大补肾水，水足则肺金有养。方用六味汤，加麦冬、五味子治之可也。
华君曰∶予亦未传，无可谈。
On the Regulation of Shanghan (Cold Damage), On the Treatment of Summerheat, On the Regulation of Zhongfeng (Wind Stroke), On the Regulation of Zhongshi (Dampness Strike), On the Regulation of Huozheng (Fire Syndrome), and on the Aftercare of Zaozheng (Dryness Syndrome).
The Heavenly Master said: "Zhongzhi" (Final Treatment) refers to the planning for aftercare once the disease has been cured; hence it is called Final Treatment. For example, how to regulate after Shanghan (Cold Damage) has healed; what decoctions to drink after Summerheat; and how to recuperate after Zhongfeng (Wind Stroke)—these are the cases in point.
When the pathogenic factors of Shanghan (Cold Damage) have completely receded, the healthy Qi naturally becomes deficient, and it is appropriate to tonify the healthy Qi. However, patients often exhibit strong Stomach Qi but weak Spleen Qi; if they consume large amounts of tonifying agents, they may be able to eat but unable to digest or absorb them. The method should employ fewer herbs that tonify the Stomach and more herbs that tonify the Spleen. It is especially inadvisable to use many Spleen-tonifying herbs while using few Kidney-tonifying herbs. This is because the Kidney can generate Earth (Spleen), and Earth can naturally generate Metal (Lung). When Metal is prosperous, Wood (Liver) will be restrained and will not excessively control Earth (Spleen). Therefore, tonifying the Kidney is precisely a way to tonify the Spleen. The prescription uses Shudi (Rehmanniae Radix Preparata) 1 liang, Maimai Dong (Ophiopogonis Radix) 3 qian, Wuweizi (Schisandrae Fructus) 5 fen, Baishao (Paeoniae Radix Alba) 3 qian, Rougui (Cinnamomi Cortex) 3 fen, Baizhu (Atractylodis Macrocephalae Rhizoma) 3 qian, Yiren (Coicis Semen) 3 qian, and Baijiezi (Sinapis Semen) 1 qian. Decoct with water and take orally. (Commentary: Pi Shen Zhi Zi Tang [Spleen-Kidney Supreme Tonification Decoction].) This prescription specifically tonifies the Kidney and Spleen meridians; without deliberately targeting every organ for tonification, all organs are effectively treated.
Summerheat injures Qi, but its treatment should not prioritize regulating Qi; instead, it should focus on nourishing Blood. This is because when Yang is injured, Yin-Blood is also consumed. The prescription uses Danggui (Angelicae Sinensis Radix) 1 liang, Baishao (Paeoniae Radix Alba) 3 qian, Chuanxiong (Chuanxiong Rhizoma) 1 qian, Shudi (Rehmanniae Radix Preparata) 1 liang, Wuweizi (Schisandrae Fructus) 1 qian, and Maimai Dong (Ophiopogonis Radix) 3 qian. Decoct with water and take orally. This prescription is essentially Siwu Tang (Four Substance Decoction). Its brilliance lies in consisting entirely of Yin-meridian herbs, supplemented by Maimai Dong (Ophiopogonis Radix) and Wuweizi (Schisandrae Fructus) to nourish Lung-Metal. Since Lung-Metal is now prosperous, it can restrain Liver-Wood from controlling Spleen-Earth. Thus, Siwu Tang (Four Substance Decoction) nourishes the Liver, allowing it to remain tranquil and untroubled.
After Zhongfeng (Wind Stroke), there is also a deficiency of Qi. Such conditions strictly require tonifying Qi and must not involve tonifying Blood. This is because Zhongfeng (Wind Stroke) occurs after Blood stasis; adding more Blood tonics would exacerbate Qi stagnation. The prescription uses Renshen (Ginseng Radix) 3 qian, Fuling (Poria) 3 qian, Yiren (Coicis Semen) 3 qian, Banxia (Pinelliae Rhizoma) 1 qian, Shenqu (Massa Medicata Fermentata) 5 fen, Baizhu (Atractylodis Macrocephalae Rhizoma) 5 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, Rougui (Cinnamomi Cortex) 1 qian, and Chenpi (Citri Reticulatae Pericarpium) 5 fen. Decoct with water and take orally. (Commentary: Qi Xue Liang Bu Dan [Qi and Blood Dual Tonification Pill].) This prescription excels at tonifying Stomach-Qi to generate Lung-Metal-Qi, and tonifying Mingmen (Gate of Life) fire to generate Spleen-Earth-Yin. With this, why fear the prosperity of Wind-Wood (Liver-Wood)? These three prescriptions are excellent methods for aftercare and can serve as principles for Final Treatment.
Master Zhang said: "This is exquisitely brilliant. What more can I say? I shall supplement each point." After Zhongshi (Dampness Strike), if dampness has been purged, the method should focus on strengthening the Spleen. However, one cannot merely strengthen the Spleen; one must tonify the fire of Mingmen (Gate of Life) to generate Spleen-Earth. The prescription uses Baizhu (Atractylodis Macrocephalae Rhizoma) 5 qian, Fuling (Poria) 3 qian, Rougui (Cinnamomi Cortex) 3 fen, Baishao (Paeoniae Radix Alba) 3 qian, Yiren (Coicis Semen) 5 qian, and Baijiezi (Sinapis Semen) 1 qian. Decoct with water and take orally. This prescription specifically tonifies the fire of the Kidney meridian without being excessively hot. Consequently, Spleen-Qi receives warmth, naturally dispelling dampness and generating Stomach-Qi.
Once the Fire Syndrome has dissipated its residual heat, the patient's breath will likely become faint, rendering them unable to sit or stand. If one一味ly (solely) clears heat, Stomach-Qi will be damaged, and the marrow exhausted; when will the Water (Kidney-Yin) regenerate? The prescription uses Shudi (Rehmanniae Radix Preparata) 1 liang, Xuanshen (Scrophulariae Radix) 5 qian, Maimai Dong (Ophiopogonis Radix) 1 liang, Niuxi (Achyranthis Bidentatae Radix) 1 qian, and Baishao (Paeoniae Radix Alba) 3 qian. Decoct with water and take orally. (Commentary: Ji Shui Tang [Water-Nourishing Decoction].) This prescription is ingenious in moistening Lung-Metal to generate Kidney-Water, while simultaneously calming the Liver. Once these three Zang organs are tranquil, Stomach-Qi will naturally regenerate. Why bother clearing residual heat further?
For Dryness Syndrome, once the pathogen is eliminated, the aftercare strategy lies solely in vigorously tonifying Kidney-Water. When Kidney-Water is sufficient, Lung-Metal will be nourished. The prescription uses Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), supplemented with Maimai Dong (Ophiopogonis Radix) and Wuweizi (Schisandrae Fructus), can be used for treatment.
Master Hua said: "I have not transmitted these methods either, so there is nothing to discuss."